Evidence map›Paper›PMID 34475599›Full record

ArticleBulletin of the World Health Organization2021

Frequency of visits to health facilities and HIV services offered to men, Malawi.

Kathryn Dovel, Kelvin Balakasi, Sundeep Gupta, Misheck Mphande, Isabella Robson, Shaukat Khan, Alemayehu Amberbir, Christian Stilson, Joep J van Oosterhout, Naoko Doi and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Bulletin of the World Health Organization, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.6field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 27 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Kathryn DovelDivision of Infectious Diseases, David Geffen School of Medicine, University of California Los Angeles, 10833 Le Conte Ave, Los Angeles, CA 90095, United States of America (USA).
Kelvin BalakasiPartners in Hope, Lilongwe, Malawi.
Sundeep GuptaDivision of Infectious Diseases, David Geffen School of Medicine, University of California Los Angeles, 10833 Le Conte Ave, Los Angeles, CA 90095, United States of America (USA).
Misheck MphandePartners in Hope, Lilongwe, Malawi.
Isabella RobsonPartners in Hope, Lilongwe, Malawi.
Shaukat KhanClinton Health Access Initiative, Boston, USA.
Alemayehu AmberbirPartners in Hope, Lilongwe, Malawi.
Christian StilsonClinton Health Access Initiative, Boston, USA.
Joep J van OosterhoutPartners in Hope, Lilongwe, Malawi.
Naoko DoiClinton Health Access Initiative, Boston, USA.
Brooke E NicholsDepartment of Global Health, School of Public Health, Boston University, Boston, USA.
Clinton Health Access Initiative · USBoston University · US

Funding

Virology CoreP30AI028697 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ZACK, JEROME A. · 1991 to 2018
$39.9M
Innovative strategies to increase ART Initiation and viral suppression among HIV+ men in MalawiK01TW011484 · FIC · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DOVEL, KATHRYN L · 2019 to 2023
$717k
FIC NIH HHS K01 TW011484NIAID NIH HHS P30 AI028697
6 · The paper itself

Abstract

objectiveTo determine how often men in Malawi attend health facilities and if testing for human immunodeficiency virus (HIV) is offered during facility visits.

methodsWe conducted a cross-sectional, community-representative survey of men (15-64 years) from 36 villages in Malawi. We excluded men who ever tested HIV-positive. Primary outcomes were: health facility visits in the past 12 months (for their own health (client visit) or to support the health services of others (guardian visit)); being offered HIV testing during facility visits; and being tested that same day. We disaggregated all results by HIV testing history: tested ≤ 12 months ago, or in need of testing (never tested or tested > 12 months before).

findingsWe included 1116 men in the analysis. Mean age was 34 years (standard deviation: 13.2) and 55% (617/1116) of men needed HIV testing. Regarding facility visits, 82% (920/1116) of all men and 70% (429/617) of men in need of testing made at least one facility visit in the past 12 months. Men made a total of 1973 visits (mean two visits): 39% (765/1973) were as guardians and 84% (1657/1973) were to outpatient departments. Among men needing HIV testing, only 7% (30/429) were offered testing during any visit. The most common reason for not testing was not being offered services (37%; 179/487).

conclusionMen in Malawi attend health facilities regularly, but few of those in need of HIV testing are offered testing services. Health screening services should capitalize on men's routine visits to outpatient departments as clients and guardians.

Indexed as

AdolescentAdultCross-Sectional StudiesFemaleHealth FacilitiesHIV InfectionsHumansMalawiMaleMass ScreeningMiddle AgedPregnancyYoung Adult

Identifiers

PMID34475599
PMCPMC8381098
OpenAlexW3198375264

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.